Dr. Larisa M. Traill M.D.
General Acute Care Hospital in Detroit, MI(View on Map)
Full Name
Dr. Larisa May Traill M.D.
NPI Number
1184826083
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/03/2007
Specialties
(Taxonomies)Code
282N00000X
207P00000X
Primary Taxonomy
Yes
No
Licenses
State
Michigan
License Number
4301086621
Contact
Information
Purpose
Mailing
Location
Address
22844 RENFORD ST
6071 W OUTER DR
City
Novi
Detroit
State
MI
MI
Postal Code
48375-4529
48235-2624
Country
US
US
Telephone Number
(347) 426-6610
(313) 745-3000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/09/2010
Provider Address
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